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Case Number 29: Ochronosis: synovial histopathological characteristics
  1. E Kruithof1,
  2. D Baeten1,
  3. E M Veys1,
  4. F De Keyser1,
  5. S Suykens2,
  6. L De Wilde2,
  7. R Verdonk2
  1. 1Department of Rheumatology, Ghent University Hospital, Belgium
  2. 2Department of Orthopaedics, Ghent University Hospital, Belgium
  1. Correspondence to:
    Dr E Kruithof
    Department of Rheumatology, OK12 IB, Ghent University Hospital, De Pintelaan 185, 9000 Gent, Belgium;

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The patient, a 43 year old woman with a 35 year history of alkaptonuria (fig 1A), presented to the orthopaedic clinic for pain in the right shoulder. Clinical examination demonstrated an important reduction of shoulder mobility with, on radiographic evaluation, a greatly destroyed joint (fig 1B). The patient was admitted to hospital to obtain a …

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